Comparison of sleeve gastrectomy and Roux-en-Y gastric bypass after failure of gastric banding: a two-center study with

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Comparison of sleeve gastrectomy and Roux‑en‑Y gastric bypass after failure of gastric banding: a two‑center study with a propensity score‑matched analysis Vallois Antoine1 · Rebibo Lionel2,3,4 · Le Roux Yannick1 · Dhahri Abdennaceur4,5 · Alves Arnaud1,6 · Regimbeau Jean‑Marc4,5,7 Received: 10 March 2020 / Accepted: 10 July 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Background  Few studies on series comparing sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) after failure of gastric banding (GB) are available. The objective of this study was to compare the short- and medium-term outcomes of SG and RYGB after GB. Materials and methods  Between January 2006 and December 2017, patients undergoing SG (n = 186) or RYGB (n = 107) for failure of primary GB were included in this two-center study. Propensity-score matching was performed based on preoperative factors with a 2:1 ratio. Primary endpoint was the weight loss at 2 years between the SG and RYGB groups. Secondary endpoints were overall mortality and morbidity, reoperation, correction of comorbidities and the rate of adverse events at 2 years follow-up. Results  In our propensity score matching analysis, operative time was significantly less in the SG group (95 min vs. 179 min; p